Benign bile duct strictures

Dadhwal, U.S.; Kumar, Vipon

doi:10.1016/j.mjafi.2012.04.014

Cited by 34 publications

(25 citation statements)

References 14 publications

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“…Most of benign causes of bile duct strictures are iatrogenic; approximately 80% of its case is resulting from operative trauma. 1 This case report would discuss a strategic management in 26 years old woman with recurrent cholangitis due to iatrogenic bile duct stricture.…”

Section: Kata Kunci: Striktur Biliaris Kolangitis Endoskopi Pembedmentioning

confidence: 98%

“…Newer agent like imipenem-cilastatin and piperacillin-tazobactam also has excellent activity against the typical pathogens. 1,5 The goal of treatment in benign bile duct stricture is biliary drainage which can be achieved via endoscopic treatment via ERCP or surgical treatment. ERCP is a valuable technique in biliary disease, it carried out different diagnostic procedure (e.g., sphincter of Oddi manometry) and therapeutic interventions (e.g., stone extraction, biliary drainage, stent placement) at the same time.…”

Section: Kata Kunci: Striktur Biliaris Kolangitis Endoskopi Pembedmentioning

confidence: 99%

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Management of Recurrent Cholangitis in Patient with Iatrogenic Bile Duct Stricture

Oktaramdani

Syam

Makmun

2015

InaJGHE

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Section: Kata Kunci: Striktur Biliaris Kolangitis Endoskopi Pembedmentioning

confidence: 98%

Section: Kata Kunci: Striktur Biliaris Kolangitis Endoskopi Pembedmentioning

confidence: 99%

Management of Recurrent Cholangitis in Patient with Iatrogenic Bile Duct Stricture

Oktaramdani

Syam

Makmun

2015

InaJGHE

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“…Mirizzi's syndrome is another rare indication, in which in the impacted gallstone can induce repeated inflammation and subsequent stricture formation. 9 Few other common indications for which biliary intervention are done include postsurgical biliary leak, biliary calculi, and abdominal blunt or penetrating trauma. Malignant biliary duct obstruction can be associated with carcinoma of the GB, periampullary tumor, cholangiocarcinoma, and metastatic disease to periportal lymph nodes (►Tables 1, 2).…”

Section: General Indications To Percutaneous Biliary Interventionsmentioning

confidence: 99%

Percutaneous Transhepatic Biliary Interventions

Yadav

Condati

Mukund

2018

J Clin Interv Radiol ISVIR

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Biliary tract interventions remain indispensable procedures for treatment of a wide arena of biliary tract pathologies. The increased use of endoscopic retrograde cholangiopancreatography (ERCP) for biliary tract evaluation and intervention has resulted in fewer patients requiring percutaneous transhepatic biliary interventions. However, there remains a subset of patients in whom ERCP is not feasible. Interventional radiologists play an important role in the management of biliary pathologies in such patients who cannot be benefited by endoscopic means. These interventions may at times be challenging; hence, awareness of normal and variant biliary tract anatomy and the variety of biliary tract interventions make the job easy. This article reviews the role of percutaneous transhepatic interventions in the management of a variety of biliary tract diseases, both benign and malignant, general indications and contraindications, preprocedural evaluation, and technical considerations specific to indications.

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“…Laparoscopic cholecystectomy is the current ‘gold standard’ for management of symptomatic cholelithiasis. Bile duct injury (BDI) during cholecystectomy remains a common and dreaded complication 2. Only a small percentage of these injuries are recognised intraoperatively while majority manifest in the early postoperative period.…”

Section: Descriptionmentioning

confidence: 99%

“…Delayed presentation of BDI (>5 years of cholecystectomy) is also not uncommon and is seen in up to 30% of cases 22. Slow evolving biliary strictures lead to chronic bile stasis thus promoting intrahepatic calculi formation 3…”

Section: Descriptionmentioning

confidence: 99%

Post-cholecystectomy partial biliary stricture leading to primary intrahepatic calculi

2018

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DesCripTionA 40-year-old woman presented with complaints of pain in the right hypochondrium and intermittent high-grade fever with chills for 3 months. She had a history of waxing and waning jaundice for the last 2 months. She had undergone open cholecystectomy 15 years back. Abdominal examination revealed a non-tender hepatomegaly. Blood investigations showed a deranged liver function suggestive of obstructive biliary pathology. Total bilirubin level was raised (4.6 mg/dL) with predominant direct component (3.5 mg/dL). Her serum alkaline phosphatase was elevated (1683 U/L) but transaminase levels were within normal range.An abdominal ultrasound showed mild hepatomegaly with bilateral intrahepatic biliary radicle dilation. Multiple calculi were present in the intrahepatic bile ducts and a hypoechoic shadow was seen near hilum. In view of suspected mass lesion at hilum, an abdominal CT scan was obtained that showed thickening of the common hepatic duct. Intrahepatic ducts were grossly dilated and were filled with multiple opacities suggestive of calculi ( figure 1A). Magnetic resonance cholangiopancreatogram also revealed a partial stricture of common hepatic duct with upstream biliary radicle dilation and multiple intrahepatic calculi ( figure 1B).Patient underwent surgical exploration, clearance of intrahepatic stones and Roux-en-Y side-toside hepaticojejunostomy proximal to the stricture (figure 2). Intraoperative frozen section examination of the strictured segment showed benign pathology and ruled out the possibility of cholangiocarcinoma. Patient recovered well after surgery.Gallstone disease (GSD) has a wide spectrum of clinical presentations ranging from asymptomatic to life-threatening forms like cholangitis, pancreatitis, gallstone ileus and gallbladder malignancy.

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Benign bile duct strictures

Cited by 34 publications

References 14 publications

Management of Recurrent Cholangitis in Patient with Iatrogenic Bile Duct Stricture

Management of Recurrent Cholangitis in Patient with Iatrogenic Bile Duct Stricture

Percutaneous Transhepatic Biliary Interventions

Post-cholecystectomy partial biliary stricture leading to primary intrahepatic calculi

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